O&G

Question 1

HVS swab taken in……. to test for …..

Answer 1

charcoal medium
thrush, BV, thrichomonas

Question 2

vulvovaginal swab for NAATS

Answer 2

sent for PCR for chlamydia and gonorrhea
chlamydia (+)= treat
gonorrhea (+)= take a hvs swab and endocervical swab separately THEN TREAT

Question 3

cervicitis pc

Answer 3

vaginal discharge
no pelvic pain

Question 4

cervictits n.gonorrhoaea tx

Answer 4

IM Ceftrriaxone 1g single dose
OR
Oral ciprofloxacin 500mg single dose

Question 5

Cervicitis, c.trachomatis tx

Answer 5

oral doxycycline 100mg BD for 7 days
OR
day 1: oral azithromycin 1g OD
day 2&3: oral azithromycin 500mg OD

Question 6

Pelvic inflammatory disease vs cervicitis

Answer 6

cervicitis has vaginal disharge and NO pelvic pain
PID involves the whole system so there is PELVIC PAIN

Question 7

Pelvic inflammatory Disease tx

Answer 7

Metronidazole: 400mg BD 14 days
Ceftriaxone: IM 1g single dose
Doxycycline: 100mg BD 14 days

Question 8

Trichomoniasis pc

Answer 8

frothey, offensive, yellow/green discharge
vaginal itching
starberry cervix
ph >4.5

Question 9

Trichomonas tx

Answer 9

oral metronidazole

Question 10

bacterial vaginosis pc

Answer 10

thin, grey white discharge
fishy smell
clue cells
postive whiff test (potassium hydroxide)
pH >4.5

Question 11

BV Tx

Answer 11

oral metronidazole OR oral clindamycin

Question 12

Vulvovaginal candidiasis pc

Answer 12

cottage cheese discharge
odourless
vaginal itching

Question 13

candidiasis tx

Answer 13

topical clotrimazole OR oral flucaonzole

Question 14

HPV 6&11 causes

Answer 14

genital warts

Question 15

HPV 16 and 18

Answer 15

cervical cancers

Question 16

what is syphillis primary stage

Answer 16

single non-painful ulcer

Question 17

HSV (Genital herpes)

Answer 17

multiple painful ulcers +- dysuria

Question 18

Haemophillusducreyi

Answer 18

single painful ulcer

Question 19

how does contraceptive patch regime work

Answer 19

wear one patch a week for 3 weeks and don’t wear a patch on week 4

Question 20

suspected/peronal hx of breast cancer what is the the safest form of contraception

Answer 20

copper coil

Question 21

transgender male safest form of contraception

Answer 21

copper coil

Question 22

mode of action if contraceptive implant

Answer 22

inhibition of ovulation

Question 23

cocp cannot be given to postpartum women because

Answer 23

6 weeks and breastfeeding

Question 24

cocp has increased risk of what cancer and protective against which cancer

Answer 24

increased risk of breast and cervical cancer
protective against ovarian and endometrial cancer

Question 25

contraceptive time till effective

Answer 25

instant: IUD
2 days: POP
7 days: COC, injection, implant, IUS

Question 26

first line tx for dysmenorrhoea

Answer 26

NSAIDS and mefenamic acid

Question 27

mennorrhagia tx

Answer 27

1) IUS (mirena)
2) transemic acid

Question 28

emergency contraception within 72hrs

Answer 28

Levonelle pill